Does it look like I would be suited with a fleur de lis tummy tuck or a regular 360? (Photo)

"The degree of sagging skin above the belly button is not extreme, and your chest condition appears to be satisfactory. Therefore, I do not recommend the Fleur-de-Lis technique, as it would result in a significant scar. Instead, a belt lift would be a more suitable option, as it allows for better scar concealment while achieving a smoother, tighter, and more contoured result."

Dear tssotsgt,

based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Of course, a fleur-de-lis with circumferential body lift will provide maximum 360 skin tightening if desired. Having said that, I would think a standard type of tummy tuck skin resection will provide an excellent result. In fact, it looks like the majority of your laxity is in the mons pubis/lower tummy area so a mini-tuck may do the trick depending on your expectations. Having said that, an umbilical transposition can help but you always run the risk of a vertical scar in the lower tummy if the umbilical hole does not reach your lower transverse scar. Additionally, your muscles look tight and flat, so a traditional tummy tuck with muscle tightening can be over-treatment with all of the risk and downtime. A lower tummy skin resection +/- umbilical transposition can be done with local and minimal sedation with no drains, minimal downtime and no drains. Something to consider. Thank you for sharing.

a fleur-de-lis abdominoplasty is a form of tummy tuck in which a standard tummy tuck incision is made hidden below the bikini or underwear line and then a vertical incision was made from the upper abdomen all the way down to the lower abdomen. This is usually reserve reserved for people that have undergone massive weight loss. I always try to put myself in the position of my patience and ask myself what I would rather have: in this case the question would be a slightly tighter abdomen but a very visible scar or a mild degree of skin laxity, but in essentially invisible scar. Looking at your pictures, I would choose for myself the ladder. I do not believe that the additional degree of skin tightening that could be obtained warrants the addition of that very visible vertical scar.

Thanks for your question! I don't think its necessary. You will get a very nice result from a full tummy tuck with liposuction to the posterior hips. Good luck!